ROBERT C MONTGOMERY (NPI# 1114958212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114958212 |
| Entity Type | Individual |
| Full Name | ROBERT C MONTGOMERY |
| Credential | MD |
| Practice Address |
737 Broadway Fargo ND 58122-0001 |
| Practice Telephone | 7012342000 |
| Practice Fax Number | 7012343740 |
| Mailing Telephone | 7012342000 |
| Mailing Fax Number | 7012343740 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2008-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 28421 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902207376 | Robert Montgomery | Marriage & Family Therapist | 6619 Dunbarton Dr, Tuscaloosa, AL 35406-2920 | 2014-09-04 |
| 1164853453 | Robert Montgomery Sr. | Technician/Technologist | 513 Gaslight Blvd, Lufkin, TX 75904-3127 | 2013-12-11 |
| 1235421645 | Robert Howes Montgomery | Radiology | 9447 Discovery Ter, #202, Bradenton, FL 34212-5113 | 2011-05-04 |
| 1245427343 | Robert Dean Montgomery | Dentist | 816 Scott St, Paso Robles, CA 93446-3640 | 2007-10-02 |
| 1720101447 | Robert G Montgomery | Family Medicine | 8570 S 116th St, Franklin, WI 53132-8803 | 2007-04-09 |
| 1437268125 | Robert W Montgomery | Psychologist | 107 Weatherstone Dr, Suite 530, Woodstock, GA 30188 | 2006-08-29 |
| 1770696544 | Robert A Montgomery | Dentist | 108 Third St, Elkins, WV 26241 | 2006-08-16 |
| 1497768444 | Robert Montgomery | Dentist | 1127 S St, Fresno, CA 93721-1408 | 2006-08-14 |
| 1801802764 | Robert Leslie Montgomery | Podiatrist | 5502 Sepulveda Blvd, Culver City, CA 90230-5514 | 2006-07-31 |
| 1952304594 | Robert Lance Montgomery | Orthopaedic Surgery | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2005-05-27 |
| Street Address |
737 BROADWAY |
| City | FARGO |
| State | ND |
| Zip Code | 58122-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437103959 | Robin J Sickels | Dietitian, Registered | 737 Broadway, Fargo, ND 58122-0001 | 2006-05-20 |
| 1679883680 | Summer Schauer | Nurse Anesthetist, Certified Registered | 737 Broadway, Fargo, ND 58122-0001 | 2010-10-13 |
| 1588974596 | Melissa Vanmatre | Nurse Anesthetist, Certified Registered | 737 Broadway, Fargo, ND 58122-0001 | 2010-10-13 |
| 1164652640 | Sanford Clinic North | Clinical Medical Laboratory | 737 Broadway, Fargo, ND 58122-0045 | 2009-07-20 |
| 1710138375 | Kent C Moser | Nurse Anesthetist, Certified Registered | 737 Broadway, Fargo, ND 58122-0001 | 2008-10-01 |
| 1023268711 | Katie C Busker | Nurse Anesthetist, Certified Registered | 737 Broadway, Fargo, ND 58122 | 2008-09-30 |
| 1770731473 | Andrea B Peterson | Nurse Practitioner | 737 Broadway, Fargo, ND 58122-0001 | 2008-09-05 |
| 1801091384 | Vijay Korimilli | Internal Medicine | 737 Broadway, Fargo, ND 58122-0001 | 2007-06-15 |
| 1437362571 | Heidi J Lako-adamson | Emergency Medicine | 737 Broadway, Fargo, ND 58122-0001 | 2007-05-07 |
| 1164567970 | Kristen M Liebl | Dietary Manager | 737 Broadway, Fargo, ND 58122-0001 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184142747 | Kayla Estepp | Internal Medicine | 737 Broadway North, Fargo, ND 58122 | 2017-09-05 |
| 1376091793 | Paul Mckay | Physical Therapist | 801 Broadway N., Fargo, ND 58122 | 2016-09-14 |
| 1801290150 | Mark Noah | Physical Therapist | 1720 South University, Fargo, ND 58122 | 2014-10-15 |
| 1245633486 | Diana Palm | Physical Therapist | 1720 University Drive South, Fargo, ND 58122 | 2014-10-02 |
| 1447696406 | Mohamad Imam | Internal Medicine | 801 Broadway North, Fargo, ND 58122 | 2013-05-17 |
| 1457615155 | Chantee Seung Gruenhagen | Nurse Practitioner | 737 North Broadway, Sanford Urology Clinic, Fargo, ND 58122 | 2012-06-27 |
| 1457594079 | Manisha Balhara | Specialist | 2400 32nd Avenue S, Fargo, ND 58122 | 2009-04-13 |
| 1578536728 | Shelby A Terstriep | Internal Medicine | 820 4 Street North, Fargo, NC 58122 | 2006-02-08 |
| 1295229946 | Christopher Hinh | Student in an Organized Health Care Education/Training Program | 801 Broadway North, Fargo, ND 58122 | 2018-06-17 |
| 1558854539 | Suchita Kotnala | Family Medicine | 737 Broadway North, Fargo, ND 58122 | 2018-06-13 |
| Find all providers in zip 58122 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629155643 | Ender G Raghib | Pediatrics | 3290 20th St S Ste A, Fargo, ND 58104-5923 | 2006-11-01 |
| 1679007058 | Molly Christine Linn | Pediatrics | 2701 13th Ave S, Fargo, ND 58103-3602 | 2017-04-12 |
| 1528410636 | Dane Hammer | Pediatrics | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2016-07-13 |
| 1730541954 | Jaclyn Held | Pediatrics | 1702 University Dr S, Fargo, ND 58103-4940 | 2016-03-26 |
| 1861888588 | Sadie Schmidt | Pediatrics | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2015-04-09 |
| 1710393426 | Jennifer A Kovatch | Pediatrics | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2014-07-02 |
| 1699181495 | Kirk David Wyatt | Pediatrics | 820 4th St N, Fargo, ND 58102-4539 | 2014-07-01 |
| 1275946733 | Christopher Failing | Pediatrics | 1702 University Dr S, Fargo, ND 58103-4940 | 2014-06-03 |
| 1952720344 | Jada Lynn Ingalls | Pediatrics | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2014-04-14 |
| 1992123954 | Rebecca Schreier | Pediatrics | 801 Broadway N, Fargo, ND 58102-3641 | 2014-04-06 |
| Find all providers in FARGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.